Shady K L, Brown J J
Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri, USA.
Magn Reson Imaging Clin N Am. 1995 Feb;3(1):73-85.
MR imaging provides an excellent morphologic depiction of normal and abnormal adrenal glands. Although CT scanning remains the primary imaging technique for detecting adrenal lesions, MR imaging is being used increasingly for characterization of adrenal masses. Chemical shift imaging is the most recent MR technique to be evaluated for distinguishing benign from malignant masses, and it appears to be the most reliable; however, further validation of this technique is necessary. In most clinical situations, adrenal lesions thought to be malignant on the basis of MR criteria should still be biopsied. MR imaging is also a useful problem-solving technique after equivocal CT scanning or sonography.
磁共振成像(MR)能出色地呈现正常及异常肾上腺的形态。尽管计算机断层扫描(CT)仍是检测肾上腺病变的主要成像技术,但磁共振成像在肾上腺肿块特征描述方面的应用正日益增多。化学位移成像是用于鉴别肾上腺良恶性肿块的最新磁共振技术,且似乎是最可靠的;然而,该技术仍需进一步验证。在大多数临床情况下,基于磁共振成像标准被认为是恶性的肾上腺病变仍应进行活检。在CT扫描或超声检查结果不明确后,磁共振成像也是一种有用的解决问题的技术。